<div class="delivery_confirm">
	<hr class="hr_dashed" />
	<form class="delivery_confirmation">
		<p>You have made the following changes:</p>
		<table class="screen_vas" cellpadding="0" cellspacing="0" border="0">
			<tr>
				<th>Account</th>
				<th>Changes</th>
				<th>Status</th>
			</tr>
			<tr>
				<td>133418516</td>
				<td>
					SMS Number for Notification<br />
					SMS Number : 60121234567
				</td>
				<td>Subscribed</td>
			</tr>
			<tr>
				<td></td>
				<td>
					Email Address for Bill Delivery<br />
					Email Address : test@maxis.com.my
				</td>
				<td>Subscribed</td>
			</tr>
			<tr>
				<td></td>
				<td>
					Don't send bill via post
				</td>
				<td>Subscribed</td>
			</tr>
		</table>
		<table class="mobile_vas" cellpadding="0" cellspacing="0" border="0">
			<tr>
				<th>Account</th>
				<th>Changes</th>
			</tr>
			<tr>
				<td>133418516</td>
				<td>
					SMS Number for Notification<br />
					SMS Number : 60121234567<br /><br />
					Status: Subscribed
				</td>
			</tr>
			<tr>
				<td></td>
				<td>
					Email Address for Bill Delivery<br />
					Email Address : test@maxis.com.my<br /><br />
					Status: Subscribed
				</td>
			</tr>
			<tr>
				<td></td>
				<td>
					Don't send bill via post<br /><br />
					Status: Subscribed
				</td>
			</tr>
		</table>
		<div class="clearfix"></div>
		<div class="align-center">
			<input type="button" class="btn" value="Cancel" />
			<input type="button" class="btn" value="Confirm" onclick="window.location='template_bill_delivery_thank.php'" />
		</div>
	</form>
</div>

